Organization
THE RANDOLPH PAIN RELIEF CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J SIMON DC (MANAGING MEMBER)
(973) 366-6615
Entity
Organization
Contact information
Practice address
588 ROUTE 10 W, RANDOLPH, NJ 07869-2056
(973) 366-6615
Mailing address
588 ROUTE 10 W, RANDOLPH, NJ 07869-2056
(973) 366-6615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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